Individual provider Active NPI

Obianuju Amy Nwaogu, CRNP

  • Adult Health Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1184229635
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R204848 Issued in MD
Practice address
9470 Annapolis Rd # 401
Lanham, MD 20706-3025
Phone
(240) 770-4315
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R204848 MD
Primary Care Nurse Practitioner 363LP2300X R204848 MD
Adult Health Nurse Practitioner 363LA2200X R204848 MD Primary

Addresses

Primary practice location

9470 Annapolis Rd # 401
Lanham, MD 20706-3025

Mailing address

3002 Duncan Dr
Adelphi, MD 20783-1110
Phone (202) 247-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210726001450 MD Practitioner - Nurse Practitioner 5193128353 Reassigns benefits to 1 organization
I20230802003046 DC Practitioner - Nurse Practitioner 5193128353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

12501 Prosperity Dr
Suite 160
Silver Spring, MD 20904-1608
Phone 8009053261103

532 Baltimore Blvd
Suite 101
Westminster, MD 21157-6118
Phone (667) 367-2778

6700 Race Track Rd
Bowie, MD 20715-3009
Phone (301) 383-2581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R204848MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

12501 Prosperity Dr
Ste 160
Silver Spring, MD 20904
Phone (240) 624-2330

532 Baltimore Blvd
Ste 101
Westminster, MD 21157
Phone (667) 367-2778

Interoperability endpoints

  • Direct secure messaging: nwaogu.obianuju@ca-md.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1184229635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 DUNCAN DR",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831110",
            "telephone_number": "202-247-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD # 401",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "240-770-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAOGU",
        "first_name": "OBIANUJU",
        "middle_name": "AMY",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R204848",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R204848",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R204848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.